Just Diagnosed
I was diagnosed this past Monday with ILC. Have had mammogram, u/s, core biopsy and breast MRI so far. Have also been tested for BRCA1 and 2. Still waiting on written report from MRI and for receptor testing on biopsy sample. Doctors are meeting today (Friday) to discuss and give me a recommendation. I am then planning on (quickly) seeking a second opinion. Tumor is in left breast and is 8 cm (huge!), but Grade 1. MRI also showed another abnormal area in the left breast. Right breast is clear (though I understand that ILC may not always show up on MRI). I am so scared. I have 3 small children (ages 8, 5, and 3) that need me. I am leaning toward bilateral masectomy even though at this point my right breast is clear. I understand that based on my tumor size alone (still don't know about lymph node involvement) I am some level of Stage III. I am petrified that this cancer has spread -- the tumor is so huge, yet it is slow growing, so I don't know what to think. I am trying to read as much as I can, but feel overwhelmed with the information, the weight of this situation, and I trying to keep up with my kids, and my full-time job, too. I have been a basket case this week and am totally behind at work. I am going to let them know today what is going on. I guess I don't have a specific question yet, just needed to vent a little.
Comments
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Ld: you are at the very scariest time. You just don't know enough to develop a plan of action. You will soon, and that will make it better. Right now you can just fear the very worst, but grade one is terrific and the news coming may be less bad that you can imagine.
I had an area of bad stuff about that size. Largely DCIS but innumerable foci of IDC. Still, it didn't do yet any of the stuff cancer needs to do to spread. So no lymph node involvement. I'm just ending rads and I've definitely been one of the luckiest of the women sitting in the waiting room.
I opted for a lumpectomy; lost about a third of my breast. They took out 10 cm along one dimension. I have been totally amazed to find I've sailed through radiation. Almost no skin change. I'd count the whole thing as a breeze, were it not for the fact that my supervisor at my university has launched a fierce attack on me, and I just discovered tonight that my son, currently a 1000 miles away, is having what seems to be a psychotic breakdown. Being a parent makes one very vulnerable. -
Forgot to say, though my cancer is grade 2, i'm at stage one.
I sure hope I don't sound as though i am bragging about having an easier time. I've met so many wonderful and brave women on this trip. I could not possible feel other than awe for them. And anyway, other major things are falling apart. -
I'm waiting for result too. It's so hard waiting.
I had 2 tumors in one breast and both were small. One was IDC and the other was ILC. If my tests come back that the ILC is not aggressive then it will be radiation for me. That's what I'm hoping and wishing and praying for. I'm stage 1, my nodes are clear.
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hello sweetie, you are in the beginning stage of treatment plan, your doctors will give you the right plan for you, I will keep you in my prayers as I have done for us all here, take a deep breath and go from there, just one step at a time to get through all you must go thru,but we are here for you. This is coming from a 17 yr Survivor(Praise God). idc,stage 2, 3 nodes,L mast,chemo and rads and 5 yrs on Tamoxifen, Hang in there sweetie, HOLD ON. msphil
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You are wise to get a second opinion. Good information from reliable sources is very helpful. There is a stage 3 forum here on this site. By reading there you can see the positive stories of others. Ask lots of questions when you meet with your doctors, and be sure you understand the answers. Don't be shy about asking them to explain further or re-explain. I recorded the sessions and got copies of every test/report, etc. We are all here to support one another. As you go through this, just know you can lean on us. Hugs, G.
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I am so sorry about your dx and totally understand your fear. It is the worst, scariest thing a human being can face. But you are not alone! You will get through this and I want to give you my support. I say a prayer for your recovery and complete return to health. (((hugs)))
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It sounds like you are about where I was three months ago in August. I agree with what's posted above--you are absolutely at the most difficult point of knowing something but not everything you need to know yet. Everything about your story is nearly identical to mine, so I hope it gives you some comfort to know that I've made it through the 3 months, that I am doing well and that most of all I am getting better! The tumor is responding to chemo well and shrinking, and I've got a surgery date on the calendar.
Specifically, I have ILC that did not show up on screening mammogram in Dec 2010. It is/was (since it's shrinking) a large tumor, multifocal, and probably anywhere from 7 cm to 10 cm. It was never fully visualized by u/s or mammogram until the MRI. Then, there was something showing up on the other breast (right) as well. They tried to ultrasound and mammogram that in hopes of doing a biopsy, but nothing would show on those tests so they could not. My surgeon thinks it was related to hormones, but we are waiting on a December MRI for final word. I have one lymph node involved on my left side which was biopsied and cancerous. I went through all of the scans and no metastasis was found. I had two second opinions which both supported my treatment plan. All of this took about 3 weeks to find out. 3 very nerve-wracking, emotional weeks.
I then began neo-adjuvant chemo at the end of September. I'm halfway through (yay!) and switching from one drug combo to another drug. I'll be having surgery followed by radiation. I am doing well and as I said above, am getting good news at every visit.
There are not as many of us with the ILC here, but I'm sure you'll be hearing from others of us. From what I'm told, it is very typical for ILC to be a large tumor before it is found and to avoid detection on mammos. Hard to take, but you are not alone in this experience. And just a few more things...I'm still working during the treatment. I'm a mom too, although my only son is at college. I have faith that you are going to get past this period of time and are going to be just fine! Please private message me if you need to.
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Thank you all so much for your support, prayers and positive thoughts. I have been off of the computer for a few days trying to get my head and my emotions together. I spoke with the breast surgeon on Friday evening by phone. She met Friday afternoon with radiologist, plastic surgeon, oncologist -- they all agree that my desire for bilateral masectomy makes sense given the size of the primary tumor, the existence of the 2nd abnormal looking mass in the same breast, my dense breasts and my family hx of breast cancer. So, that's fine. And, she said that treatments after the surgery would depend on the biopsy and on whether or not they found cancer in my lymph nodes. But, I felt like I had to pry the most basic information out of her (e.g. whether I am Estrogen/Progeserone +), and alot of the information I have is because I got the preliminary pathology on my biopsy and read it/figured out some things on my own. I feel like she's only giving me the most basic information and I have felt like she's rushing to be done talking with me every time we've talked. So, I am not feeling like this is the person that I want to have in charge of my surgery/treatment. I do have a lead on a second opinion group, but I will have to wait till tomorrow (Monday) to call, and since it is Thanksgiving week, I don't know that I'll have the opportunity to get in till next week. I really wish I didn't have to go through the long weekend without a solid plan, though. Thank you again for taking the time to respond to my post -- it makes me feel less alone, and it means alot to me.
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Hi lemondrop. Sounds ilke we are in similar curcumstances. I was diagnosed November 10. Thanks to fast moving medical caregivers, I'm scheduled for bilateral mastectomy December 8. I will keep you in my prayers!
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tfee - So glad that you have a team that you are comfortable with and that is moving fast! I will keep you in my prayers as well.
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lemondrop, Have you had any luck in meeting with a different treatment team? I hope it hasn't been too difficult for you. Thinking of you, G.
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Gitane, thankyou for your concern. I have an appointment with a highly recommended team on Dec. 6., so am on hold till then, but hopeful that I will be getting my treatment plan going soon after that.
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Hi lemondrop...as others have said, this is the scariest time so it's no wonder you are afraid. When you start having treatment it will give you a sense of control and although chemo etc is no picnic, it was do-able - keep telling yourself it is killing the cancer for you and your kids - makes it easier. Also, these boards are a lifesaver - ask anything and you will find information and comfort.
I was diagnosed with ILC in 2006 - 11 cm tumour, 10 nodes - all this depsite repeated checks and mammos and ultrasounds. I had a bmx and 6 rounds of chemo, 30 rads, 2 years tamoxifen and now aromasin. But the point is large tumor, nodes involved, and here I am 6 years later doing fine. My kids were 6 and 9 at the time so I know how hard that is. Good luck tomorrow and I hope you can feel the big warm hug from Canada protecting you! xoxoxooxo
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LD
My gyn once said "I would rather a big fat lazy tumor than a small agressive one".... good luck with your appointments....
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Hi lemondrop, I had a huge tumor too 10cm, they may want to start you on neoadjuvant chemotherapy to shrink the tumor first before surgery and to see if it responds to the chemo, I've had 5 rounds so far and my tumor has shrunk to basically nothing, at least I know the chemo is working this way.
Good luck with your new team, I also changed surgeons because I felt the first one I saw had no empathy, we need to feel comfortable with who is looking after us. {{{HUGS}}}
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Hi Lemondrop,
I wish you well and send you hugs.
I have two young boys and the most wonderful husband. On my down days (of which there have been too many over the past 2 weeks), I remind myself of what is important. Ridding my body of the dreaded lurgy and makng the most of every moment I have with my darlings.
Love and light xox
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Hi,
The waiting is so hard and there seems to be plenty of that....always waiting on something. I wish you peace until you get to meet with your new team on the 6th. It's so important to be comfortable with all of your doctors. Once you have a plan you'll feel better.
I have had my surgery, bi-lateral mastectomy with reconstruction. I am now waiting to get my Oncotype score back. I'm feeling that anxious feeling again wondering if I need chemo. With any luck and lots of prayer, I'll be able to skip that and just do hormone therapy.
Lots of love and prayers to you and your family!
Keely
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Hi,
It's a scary time, you should be scared, but really, just go with the flow and do exactly as they say. Yes a second opinion is always nice, do get one... but when I was told back on dec 4, 2007, that I had ILC and they biopsied both breasts and said it was in both, I had no hesitation, remove both breast, in fact, don't even put anything back, I'll go without...I had a 8cm mass on the right and a 8mm one in the left. I had a few lymph nodes involved, but no spread. So I did the chemotherapy, I did the 32 rads, I did the two years tamoxifen, and now I'm doing the Aromasin. Life is as it was before all this happened...it's no big deal. Be positive, you'll be there for your kids...just take the medication, and do what the experts recommend. If you live in a small town with no cancer specialist, travel until you find one. I'm praying for you and your children...be strong. -
Like Peggy, I was diagnosed with ILC in 2006 with a honking big (10 cm) tumor and lots of lymph node involvement -- and here we both are 6+ years later. You can be too! Hang in there, keep enjoying sunsets and time with your kids, and take this one treatment at a time.
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Good morning wonderful ladies, I hope this day holds great joys for all of you.
After my reg mammo & us in Feb which showed nothing but my usual dense cystic (sometimes painful) breasts, MRI was recommended. I had an area upper outer quadrant full of cysts and it was difficult to image. However, and I have let this almost destroy me, i let my results comfort me and didn't schedule MRI in September until I saw a some nipple retraction in my left breast. The MRI lit up areas in my right breast. Still nothing conclusive in the left. Another US and biopsies confirmed my worst fear. Thinking back, I even had a conversation with the breast surgeon about prophylactic mastectomy, but just wasn't quite ready yet.
I was dx on Oct 11 with 2 Tumors. 2.8 cm & ES & PR + her 2-. 8/9 lymph nodes 2 with extra capsular invasion in left breast. And an area of DCIS on the right. MRI had picked that up.
My concern now is the best course of treatment to follow. Recommended treatment by two Drs is 4 AC 12 taxol and radiation.
For those of you with ILC who are facing treatment or been through, would you share what your experience, knowledge, proposed course?
I apologize for this lengthy post and thank you in advance and wish you a good day.
Hugs Laura -
seacretgardn - I am sorry that you find yourself here. If you read through the ILC threads, you will find so many of us, like you, had dense breasts nd normal radiographic studies shortly before being diagnosed. Try not to beat yourself up but to use your energy to move forward. I know it's easier said then done!
I also had 2 positive nodes with extracapular extension (ECE). I had dose dense AC x 4 followed by dose dense Taxol x 4. So chemo every 2 for 8 treatments. I then had radiation to my breast, chest wall, axillary & supraclavicular nodes. My radiation setup included a posterior axillary beam to penetrate deeply into the area where the ECE was. 6 months after radiatoin I had BMX. I have mild lymphedema. But I'm glad that I had all the treatment that I did.
I believe in 2nd & even 3rd opinions. It's most important to have a treatment team that you can talk to and trust. Your in the hardest stage right now, getting your treatment plan in place. Wishing you the best.
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Too much, thank you for sharing your experience, knowledge and encouragement.
Yes I can tell you I've lost much sleep over what I did or didn't do.
My concern is the limited amount of ILC patients my onc may have treated. The first onc I met with works with breast cancer patients exclusively, my new onc does treat other cancers.
Although they both propose the same tx, I went with the dr and facility that I was more comfortable traveling to and familiar with. Now of course I'm wondering.....
Thank you for listening and your good wishes.
All the best to you too.
Laura -
seacretgardn, I wrote to you on another thread about checking out the B-47 trial with your oncologist. Hugs, G.
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Gitane thank you. I meet with her tomorrow. Im a better prepared for this appointment.
Will keep you posted, Laura -
seacretgardn.... I hope your appt went well. I really struggled with treatment options. After my diagnosis, I had an MRI which showed all kinds of possible issues in both breasts. Due to that and the dense breast issues I did a double masectomy. Couldnt face the thought of future mammograms when they failed me this go around. My ILC also did not show up on mammo. After the surgery it was onto the chemo decision. My onc said dose dense AC x4 and then taxol dose dense x4 w/herceptin. 2nd opinion onc said AC x4 with weekly taxol x12. I struggled with this decision for a month. I had decided on the dose dense AC and taxol for a total of 8. Well, then my Onc said she changed her mind basically and that she recommends the weekly taxol as well. I have completed the 4AC and am now in the middle of the weekly taxol. I wont be having radiation. Good luck with your treatment choices. I can tell you that the onc at mayo clinic told me that he felt dose dense was good for those that aren't Her2+, but for Her2+ he prefers weekly taxol.
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how was your ILC detected? I have had a diagnostic mammo, U/S & MRI. They have all come back negative and yet I am still concerned!!!
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mommyof2.....I've been reading your posts....while I generally say, trust your gut....you've had so many tests done and all are negative, maybe you need to trust the docs.....my cancer was initially found with a mammo....except what they found on the mammo ...which led to the spot compression mammo to an ultrasound...biopsy, and diagnosis then MRI, more biopsy and continued bad news....but as some of the other gals have said, for the docs to do a biopsy, they have to have something to biopsy....MRI's are known for false positives (more than false negatives).....so maybe its time to relax for now.....and have follow up in 3 to 6 months....
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Ladies up late and rereading some of my earlier posts. Wanted to thank those on this thread for your generous sharing and insights. I hope those of you still in tx are feeling well and wish us all a Happy New Year filled with good health, happiness and joy.
Laura -
I was diagnosed last week with invasive pleomophic lobular carcinoma....is that the same as ILC????
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Hi barbiecorn. I also have pleomorphic ILC. I admit that I don't really understand what pleomorphic means but I think other factors such as the size, grade and receptors on the tumour are at least as important as they determine your treatment options. Do you have any of those details yet?
The effectiveness of chemo is controversial for ILC so keep in contact with us as you consider your treatment options. If you have the option of the oncotype test, use it.
But one step at a time as there is so much to learn and consider and it can be overwhelming to think too far ahead of where you are at.
Hopefully your cancer is at a stage where you can have a very positive response to treatment.
Keep in touch with this site and we will help you through.
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